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NCLEX RN Practice Questions

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Question 1 of 5

A 4-year-old is admitted with acute leukemia. It will be most important to monitor the child for:

Correct Answer: C

Rationale: Acute leukemia causes bone marrow suppression, leading to anemia (pallor) and thrombocytopenia (bleeding), which are critical to monitor.

Question 2 of 5

A client with chronic pain is being treated with opioid administration via epidural route. Which medication would it be most important to have available due to a possible complication of this pain relief procedure?

Correct Answer: B

Rationale: Epidural opioids can cause respiratory depression, a life-threatening complication. Naloxone (Narcan) is an opioid antagonist that reverses this effect, making it critical to have available. The other medications address pain, allergies, or nausea, not opioid-related complications.

Question 3 of 5

A trauma client is admitted to the emergency room following a motor vehicle accident. Examination reveals that the left side of the chest moves inward when the client inhales. The finding is suggestive of:

Correct Answer: D

Rationale: Inward chest movement on inhalation indicates flail chest, where multiple rib fractures cause a segment of the chest wall to move independently.

Question 4 of 5

The nurse is preparing to give an oral potassium supplement. The nurse should give the medication:

Correct Answer: B

Rationale: Oral potassium supplements should be diluted with at least 4 oz. of juice to reduce gastrointestinal irritation.

Question 5 of 5

A 43-year-old client has developed progressive frontotemporal dementia and is exhibiting inappropriate and compulsive behaviors, difficulty with language, and impaired judgment. Which statement by the client's wife suggests that she has not accepted a permanent role change in their relationship?

Correct Answer: A

Rationale: Expecting the husband to manage finances (
A) indicates denial of his impaired judgment due to dementia, suggesting non-acceptance of a permanent role change. Other statements (B, C,
D) reflect frustration or realistic expectations.

Similar Questions

The nurse is caring for a client who lives below the poverty level. While providing discharge teaching, the nurse notes that the client has received a prescription for warfarin (Coumadin) and will need to return to the clinic for regular lab work. Which of the following is most appropriate for the nurse to ask the client?
The orthopedic nurse should be particularly alert for a fat embolus in which of the following clients having the greatest risk for this complication after a fracture?
A client is admitted with acute adrenal crisis. During the intake assessment, the nurse can expect to find that the client has:
A client with an abdominal cholecystectomy returns from surgery with a Jackson-Pratt drain. The chief purpose of the Jackson-Pratt drain is to:
After a discharge, there is a private room available on the floor. The nurse should move which client to the private room?

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